St. John Vianney
Catholic Church

Fishers, IN

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Middle School Youth Group

- Education

Middle School group meets the third Sunday each month from 12pm to 2pm. This group is for grades 6th through 8th. Great activities and lunch will be offered. Kelsey McDonald is the head of this group. She can be reached at 317-485-0150 ext #1116.

“The Church entrusts to young people the task of proclaiming to the world the joy which springs from having met Christ. Dear friends, allow yourselves to be drawn to Christ; accept his invitation and follow him. Go and preach the good news that redeems; do it with happiness in your hearts and become communicators of hope in a world which is often tempted to despair.” – St. John Paul II
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- Middle School Youth Group Registration Form
  (To be completed by Parents)
- PARENT INFORMATION:
- Father's Full Name Please enter valid data.
- Mother's Full Name Please enter valid data.
- Address REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Home Phone Number Please enter a phone number.
- Father's Cell Phone Number Please enter a phone number.
- Mother's Cell Phone Number Please enter a phone number.
- ___________________________________________________________________________________
- STUDENT INFORMATION:
- Student Name REQUIRED Please fill out this field. Please enter valid data.
- Birthday REQUIRED Please fill out this field. Please enter a date.
- Gender REQUIRED Please fill out this field.
- Grade (Fall 2019) REQUIRED Please fill out this field.
- School (Fall 2019) REQUIRED Please fill out this field. Please enter valid data.
- ____________________________________________________________________________________
- We, as parents of the undersigned minor, hereby consent and agree to hold harmless St. John VianneyCatholic Church or the Diocese of Lafayette‐in‐Indiana Inc., and any and all employees or volunteers thereof, for any accident, injury or occurrence arising out of, or in connection with the Middle School Youth Group program. I give permission for my child, in case of emergency, to be taken to a physician or hospital by an adult volunteer. I understand that every effort will be made to contact me. If I cannot be reached, I hereby give permission to the physician selected by the adult volunteer to secure proper treatment for my child.
- I Agree Please select this field.
- Date REQUIRED Please fill out this field. Please enter a date.
- If parent/guardian cannot be reached, contact: REQUIRED Please fill out this field. Please enter valid data.
- Cell Phone Number REQUIRED Please fill out this field. Please enter a phone number.
- Accident/Hospitalization Insurance Name Please enter valid data.
- Insurance Number Please enter valid data.
- I give my consent and understand that photos of my child(ren) (names will not be used) may be published in the following: Parish Media (website, newsletters, bulletin), The Catholic Moment, Facebook and Instagram.
- Consent
Submit
Documents
- Middle School Youth Group Registration Form 2019-2020